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NPI Code Detail

MEDICARE: PEREZ & ASSOCIATES, LLC

MEDICARE: PEREZ & ASSOCIATES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1619532843
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEREZ & ASSOCIATES, LLC
Provider Business Mailing Address
First Line : 3529 LAKE PALOURDE DR
Second Line :
City : HARVEY
State : LA
Zip : 70058-5504
Country : US
Telephone Number : 504-388-7888
Fax Number :
Provider Business Practice Location Address
First Line : 2916 GENERAL DEGAULLE DR STE 104
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70114-6450
Country : US
Telephone Number : 504-641-4438
Fax Number :
Authorized Official
Title or Position : MEDICAL PSYCHOLOGIST
Name : DR. BARAKA W. PEREZ
Credential : PHD, MP
Telephone Number : 504-641-4438
Provider Enumeration Date : 05/02/2019
Last Update Date : 06/11/2019

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Directions to “PEREZ & ASSOCIATES, LLC ” Practice Location

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